[#escape x as x?html]
<!DOCTYPE html>
<html>
<head>
    <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/>
    <title>理赔服务编辑</title>
[#include "/include/jsvalidation.ftl"]
[#include "/include/main.ftl"]
    <script>
        $(function() {
            $("#ClaimsEdit").tabs();
        });

    </script>
</head>
<body>
<div class="ui-widget page">
[#include '/top.ftl']

    <div class="content">
    [#include '/leftNav.ftl']
        <div style="width:845px;height:600px;float: left;padding-left: 5px">
            <div class="ui-widget-content ui-corner-all" style="min-height: 600px;">
                <form name="mainForm" method="post" action="" onsubmit="if (va.validate()) formSubmit(this);else return false;">
<INPUT TYPE="hidden" NAME="sn" VALUE="${obj.ClaimsObj.sn?default('')}">

                    【<a href="/list">返回理赔服务列表</a>】
                    <div id="ClaimsEdit" style="width:830px">

                        <ul style="border-bottom:#aed0ea 1px solid;">
                            <li><a href="Claims_base">基本资料</a></li>

                        </ul>
                        <div id="Claims_base">
<p>
客户sn  <input type="text"  size="20" id="custSn" name="custSn" class="max-length-40 ">

<script>$("#custSn").val("${(obj.ClaimsObj.custSn)?default('')}");</script>
 </p>
<p>
车牌号  <input type="text"  size="20" id="carNo" name="carNo" class="max-length-40 ">

<script>$("#carNo").val("${(obj.ClaimsObj.carNo)?default('')}");</script>
 </p>
<p>
客户车sn  <input type="text"  size="20" id="custCarSn" name="custCarSn" class="max-length-40 ">

<script>$("#custCarSn").val("${(obj.ClaimsObj.custCarSn)?default('')}");</script>
 </p>
<p>
立案号  <input type="text"  size="20" id="paNo" name="paNo" class="max-length-100 ">

<script>$("#paNo").val("${(obj.ClaimsObj.paNo)?default('')}");</script>
 </p>
<p>
交强保单号  <input type="text"  size="20" id="enPolicyNo" name="enPolicyNo" class="max-length-100 ">

<script>$("#enPolicyNo").val("${(obj.ClaimsObj.enPolicyNo)?default('')}");</script>
 </p>
<p>
交强保单号sn  <input type="text"  size="20" id="enPolicySn" name="enPolicySn" class="max-length-40 ">

<script>$("#enPolicySn").val("${(obj.ClaimsObj.enPolicySn)?default('')}");</script>
 </p>
<p>
商业保单号  <input type="text"  size="20" id="buPolicyNo" name="buPolicyNo" class="max-length-100 ">

<script>$("#buPolicyNo").val("${(obj.ClaimsObj.buPolicyNo)?default('')}");</script>
 </p>
<p>
商业保单号Sn  <input type="text"  size="20" id="buPolicySn" name="buPolicySn" class="max-length-40 ">

<script>$("#buPolicySn").val("${(obj.ClaimsObj.buPolicySn)?default('')}");</script>
 </p>
<p>
出险时间  <input type="text"  size="20" id="accDate" name="accDate" class="validate-date-yyyy-MM-dd hh:mm:ss" onClick="popCalendar(this)" >

<script>$("#accDate").val("${(obj.ClaimsObj.accDate?string('yyyy-MM-dd HH:mm:ss'))?default('')}");</script>
 </p>
<p>
报案人  <input type="text"  size="20" id="reportPerson" name="reportPerson" class="max-length-100 ">

<script>$("#reportPerson").val("${(obj.ClaimsObj.reportPerson)?default('')}");</script>
 </p>
<p>
报案电话  <input type="text"  size="20" id="reportTel" name="reportTel" class="max-length-100 ">

<script>$("#reportTel").val("${(obj.ClaimsObj.reportTel)?default('')}");</script>
 </p>
<p>
出险经过  <input type="text"  size="20" id="accDetail" name="accDetail" class="max-length-1000 ">

<script>$("#accDetail").val("${(obj.ClaimsObj.accDetail)?default('')}");</script>
 </p>
<p>
修车地点  <input type="text"  size="20" id="repairPlace" name="repairPlace" class="max-length-100 ">

<script>$("#repairPlace").val("${(obj.ClaimsObj.repairPlace)?default('')}");</script>
 </p>
<p>
理赔金额  <input type="text"  size="20" id="fee" name="fee" class="validate-float ">

<script>$("#fee").val("${(obj.ClaimsObj.fee)?default('')}");</script>
 </p>
<p>
赔案状态  <input type="text"  size="20" id="state" name="state" class="max-length-100 ">

<script>$("#state").val("${(obj.ClaimsObj.state)?default('')}");</script>
 </p>
<p>
责任归属  <input type="text"  size="20" id="duty" name="duty" class="max-length-100 ">

<script>$("#duty").val("${(obj.ClaimsObj.duty)?default('')}");</script>
 </p>
<p>
备注  <input type="text"  size="20" id="memo" name="memo" class="max-length-1000 ">

<script>$("#memo").val("${(obj.ClaimsObj.memo)?default('')}");</script>
 </p>


                        </div>

                </form>
                <script>
                  va = new Validation('mainForm');
                </script>
            </div>

        </div>
    </div>

[#include '/bottom.ftl']
</div>
</body>
</html>
[/#escape]
